10.4 Iron Metabolism Flashcards

1
Q

How much of the body’s iron is stored in RBCs?

A

Just over 50%

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2
Q

How much iron do we lose in a day? How much do we have in total?

A
  • We lose 1-2mg/day
  • Which is not very much, when you consider that we have 3-4g total
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3
Q

Which protein transports iron around in the blood?

A

Transferrin

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4
Q

Where is iron mainly transported to once in the blood?

A
  • Bone marrow (for erythropoiesis)
  • Liver
  • Other tissue
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5
Q

Why is a large amount of iron either in macrophages or in the spleen?

A
  • Being recycled
  • Will be transported elsewhere eventually by transferrin
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6
Q

What are the main dietary sources of iron? Which is better absorbed?

A
  • Red meat
  • Vegetables (such as brocolli)
  • Iron from meat is better absorbed due to pH
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7
Q

Which iron ion is bound in haemoglobin?

A

Fe2+

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8
Q

How does the DMT1 transport protein help us absorb plant-based iron?

A

It reduces Fe3+ into Fe2+

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9
Q

Which transport protein enables iron to move from enterocyte into blood?

A

Ferroportin

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10
Q

What happens to iron as it is taken up by transferrin?

A

It is oxidied back into Fe3+

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11
Q

How does hepcidin decrease iron transport?

A

It degrades ferroportin

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12
Q

Ferritin vs transferrin

A

Ferritin is a warehouse that stores iron. When combined with transferring, it can move iron around the body.

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13
Q

How can an inflammatory response mislead us regarding ferritin levels?

A

Inflammation causes liver to produce more ferritin; this is indicative of inflammation, not of higher iron levels.

Hepcidin is also upregulated during inflammation, so any iron that is actually present is difficult to use.

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14
Q

Hepcidin blocks ferroportin, which can prevent iron transport from exiting…

A
  • Macrophages
  • Hepatocytes
  • Enterocytes
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15
Q

How does the body change iron absorption during hypoxia? Why?

A
  • Wants to make more RBCs
  • Increased DMT1, decreases hepcidin
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16
Q

How does EPO increase iron absorption?

A

It decreases hepcidin

17
Q

How does inflammation influence hepcidin?

A

Increase; harder to absorb

18
Q

How does haemochromatosis influence iron absorption?

A

It genetically limits hepcidin production; loss of regulation

19
Q

How many haem molecules per haemoglobin?

A

Four

20
Q

Effect of pH on O2 curve

A

Lower pH, higher acidity, easier to let go of O2 (Makes sense; there must be high CO2, so we want to release O2 into tissue)

21
Q

Effect of 2-3 DPG on O2 curve

A
  • Same as temp
  • Higher, lower affinity
22
Q
A